ABSTRACT
The gunshot wounds have various specific characteristics which makes them different from the other types of wounds. The projectile causes an anatomic defect presenting with necrotic tissues and intensive bacterial contamination. These wounds have complicated evolution and affect the general condition of the whole organism. The authors report on the results of 14 patients with gunshot wounds of the extremities over a 5-year period.
Subject(s)
Arm Injuries , Leg Injuries , Wounds, Gunshot , Arm Injuries/diagnostic imaging , Arm Injuries/therapy , Bacterial Infections/prevention & control , Humans , Leg Injuries/diagnostic imaging , Leg Injuries/therapy , Radiography , Treatment Outcome , Wounds, Gunshot/diagnostic imaging , Wounds, Gunshot/therapyABSTRACT
AIM: To present our experience in surgical treatment of funnel chest. MATERIAL AND METHODS: Seven patients (6 males and 1 female) aged 13 to 18 years were treated in the Department using Rathke-Schlegel's modification of Ravitch operative technique. In 2 patients the corrected deformity status was maintained by 2 Kirschner's pins that were placed substernally and attached bilaterally to the adjacent ribs. In one patient a direct traction through the sternum was applied and in 4 patients the fixation was achieved by fastening the sternum with wire loops to an overlying AO plate. RESULTS: Very good results were achieved in 4 patients (57.14%) and a good outcome was evaluated in 3 patients with 30% recurrence of the deformity. There was no lethal outcome. Three complications were encountered: in one patient hemothorax occurred that was cured by a single punction aspiration, in other patient one of the Kirschner's pins slipped into the thoracic cavity. The pin but did not injure intrathoracic organs and was promptly removed. In the third patient earlier removal of the plate was required because suppuration developed. CONCLUSION: The presented method for correction of chest deformity is successful if the implants are kept in place from 6 to 12 months. This time is sufficient for formation of a solid callus that prevents recurrence of the deformity.
Subject(s)
Funnel Chest/surgery , Plastic Surgery Procedures/methods , Adolescent , Female , Funnel Chest/pathology , Humans , Male , Plastic Surgery Procedures/adverse effects , Recurrence , Treatment OutcomeSubject(s)
Bites and Stings/complications , Equidae , Forearm Injuries/etiology , Fractures, Open/etiology , Multiple Trauma/etiology , Wounds, Penetrating/etiology , Animals , Bites and Stings/diagnostic imaging , Bites and Stings/surgery , Follow-Up Studies , Forearm Injuries/diagnostic imaging , Forearm Injuries/surgery , Fractures, Open/diagnostic imaging , Fractures, Open/surgery , Humans , Male , Middle Aged , Multiple Trauma/diagnostic imaging , Multiple Trauma/surgery , Radiography , Recurrence , Wounds, Penetrating/diagnostic imaging , Wounds, Penetrating/surgeryABSTRACT
We studied the local changes of blood gas indices of arterialised capillary blood taken simultaneously from the fractured and the uninjured arm of 30 patients with diaphyseal fractures of the forearm. Blood gases were measured with a Stat Profile 5 analyser (Nova Biomedical). The results indicate a slight but statistically significant decrease of the acid-base indices without any changes in the oxygen indices. These slight changes do not affect considerably the diagnosis of the profile.
